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Individual

BONNIE MARIE DIETRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4343 N ORACLE RD #173, TUCSON, AZ 85705
(520) 591-5346
Mailing address
2959 N SPARKMAN BLVD, TUCSON, AZ 85716-1932

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008372
AZ

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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